Ampullary disconnection during the course of biliary and duodenal surgery.
Ampullary disconnection is fortunately rare. As this experience indicates, the long-term salvage rate is good but demands immediate recognition, precise repair and frequently reoperation to obtain a satisfactory result. One should be aware that the ampulla may be located very proximally in patients with long-standing peptic ulceration. The common duct should be catheterized while reoperation is required in this area in cases of obscured anatomy of the distal bile and pancreatic ducts.
D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000293:injuries* / Q000601:surgery; D001652:Bile Ducts / Q000601:surgery; D004240:Diverticulum / Q000601:surgery; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000601:surgery